Nina A. Guzzetta, MD, FAAP

Associate Professor of Anesthesiology and Pediatrics

Emory University School of Medicine

Children's Healthcare of Atlanta

1405 Clifton Road NE

Atlanta, Georgia 30322

Phone: 404-785-6672

Dr. Guzzetta’s clinical expertise is in the anesthetic care of children with congenital heart disease presenting for cardiac surgery, cardiac catheterization procedures and non-cardiac surgeries. She trains residents and fellows in how to provide anesthesia for these patients. She also conducts extensive clinical research in this area primarily focusing on effective anticoagulation for cardiopulmonary bypass and the management of bleeding after cardiopulmonary bypass. Dr. Guzzetta is on the Board of Directors of the Congenital Cardiac Anesthesia Society and currently serves as vice-president.

Medical School: Emory University School of Medicine, Atlanta, GA

Internship: Emory University School of Medicine, Atlanta, GA

Residency: Brigham and Women’s Hospital, Department of Anesthesiology, Harvard Medical School, Boston, MA

Fellowship: Adult and Pediatric Cardiothoracic Anesthesiology, Emory University School of Medicine, Department of Cardiothoracic Anesthesia, Atlanta, Georgia

Board Certification: American Board of Anesthesiology

  • Congenital cardiac anesthesia
  • Hemostasis in pediatric patients
  • Anti-coagulation during cardiopulmonary bypass
  • Treatment of post-cardiopulmonary bypass coagulopathies
  • Transfusion of blood components
  • Therapies for decreasing transfusion requirements

Peer-Review Publications:

  1. Miller BE, Tosone SR, Tam VKH, Kanter KR, Guzzetta NA, Mochizuki T, Levy JH. Hematologic and economic impact of aprotinin in reoperative pediatric cardiac operations. Ann Thorac Surg 1998;66:535-41
  2. Miller BE, Guzzetta NA, Tosone SR, Miller J, Flunker AR, Silvey EM, Levy JH. Tissue factor-activated thromboelastograms in children undergoing cardiac surgery: baseline values and comparisons. Anesth Analg 2003;97:1289-93
  3. Miller BE, Tosone SR, Guzzetta NA, Miller JL, Brosius KK. Fibrinogen in children undergoing cardiac surgery: is it effective? Anesth Analg 2004;99:1341-6
  4. Guzzetta NA, Miller BE, Todd K, Szlam F, Moore RH, Tosone SR. An evaluation of the effects of a standard heparin dose on thrombin inhibition during cardiopulmonary bypass in neonates. Anesth Analg 2005;100:1276-82
  5. Guzzetta NA, Miller BE, Todd K, Szlam F, Moore RH, Brosius KK, Wilson EC, Cohen AM, Tosone SR. Clinical measures of heparin effect and thrombin inhibitor levels in pediatric patients with congenital heart disease. Anesth Analg 2006;103:1131-8
  6. Guzzetta NA, Bajaj T, Fazlollah T, Szlam F, Wilson E, Kaiser A, Tosone SR, Miller BE. A comparison of heparin management strategies in infants undergoing cardiopulmonary bypass. Anesth Analg 2008;106:419-25
  7. Guzzetta NA, Evans FM, Rosenberg ES, Fazlollah TM, Baker MJ, Wilson EC, Kaiser AM, Tosone SR, Miller BE. Impact of aprotinin on postoperative renal dysfunction in neonates undergoing cardiopulmonary bypass: a retrospective analysis. Anesth Analg 2009;108:448-55
  8. Guzzetta NA, Huch S, Fernandez JD, Tosone SR, Miller BE. Use of recombinant factor VIIa for uncontrolled bleeding in neonates after cardiopulmonary bypass. Pediatric Anesthesia 2009;19:364-70
  9. Kogon B, Fernandez J, Kanter K, Kirshbom P, Vincent B, Maher K, Guzzetta N.  The role of intraoperative indocyanine green fluorescence angiography in pediatric cardiac surgery.  Ann Thorac Surg. 2009;88(2):632-6
  10. Hoye DJ, Wilson EC, Fyfe D, Guzzetta NA. Cor triatriatum dexter: a rare cause of neonatal cyanosis. Anesth Analg 2010;110:716-718
  11. Guzzetta NA, Monitz HG, Fernandez JD, Fazlollah TM, Knezevic A, Miller BE. Correlations between ACT values and heparin concentration measurements in young infants undergoing cardiopulmonary bypass. Anesth Analg 2010;111:173-9
  12. Vener D, Guzzetta NA, Jacobs JP, Williams GD. Development and Implementation of a New Data Registry in Congenital Cardiac Anesthesia. Ann Thorac Surg 2012;94:2159-65
  13. Guzzetta NA, Amin S, Tosone A, Miller BE.  Change in Heparin Potency and Effects on the Activated Clotting Time in Children Undergoing Cardiopulmonary Bypass. Anesth Analg 2012;115:921-4
  14. Guzzetta NA, Foster GC, Mruthinti N, Kilgore PD, Miller BE, Kanter KK. In-Hospital Shunt Occlusion in Infants Undergoing a Modified Blalock-Taussig Shunt. Ann Thorac Surg 2013;96:176-82
  15. Wolf MJ, Maher KO, Kanter KR, Kogon BE, Guzzetta NA, Mahle WT. Early postoperative bleeding is independently associated with increased surgical mortality in infants after cardiopulmonary bypass. J Thorac Cardiovasc Surg 2014;148:631-6
  16. Guzzetta NA, Szlam F, Kiser AS, Fernandez JD, Szlam AD, Leong T, Tanaka KA. Augmentation of Thrombin Generation in Neonates Undergoing Cardiopulmonary Bypass. British J Anaesth 2014;112:319-27
  17. Brown AC, Stabenfeldt SE, Ahn B, Hannan RT, Dhada KS, Herman ES, Stefanelli V, Guzzetta N, Alexeev A, Lam WA, Lyon AL, Barker TH. Ultrasoft microgels that display emergent, platelet-like, behaviors. Nature Materials. Accepted for publication 7/2014
  18. Guzzetta NA, Allen NN, Wilson EC, Foster GS, Ehrlich AC, Miller BE. Excessive Postoperative Bleeding and Outcomes in Neonates Undergoing Cardiopulmonary Bypass. Anesth Analg accepted for publication 9/2014

 

Review articles (Peer-Review):

  1. Guzzetta NA. Phenoxybenzamine in the treatment of hypoplastic left heart syndrome: A core review. Anesth Analg 2007;105:312-15
  2. Guzzetta NA, Miller BE. Principles of hemostasis in children: models and maturation. Pediatric Anesthesia 2011;21:3-9
  3. Guzzetta NA. Blood transfusion during complex heart surgery in children: risks, benefits and alternatives. Pediatric Anesthesia 2011;21:504-11
  4. Guzzetta NA, Russel IA, Williams GD. A review of the off-label use of recombinant activated factor VII in pediatric cardiac surgery patients. Anesth Analg 2012;115:364-78

Chapters (Peer-Review):

  1. Wilson EC, Guzzetta NA. “Mixing Lesions” in digital publication Clinical Decision Support System in ANESTHESIOLOGY , editors: Drs. Fleisher, Davis, Hawkins, McGoldrick, Mulroy, Newman, and Wiener-Kronish. 2012
  2. Miller BE, Guzzetta NA, Williams GD. “Coagulation, Cardiopulmonary Bypass, and Bleeding” in Anesthesia for Congenital Heart Disease, 3rd Edition, editors: Andropoulos DB, Mossad E, Miller-Hance WC. 2014

Vice President, Congenital Cardiac Anesthesia Society 2014-2016